Individual
MRS. JULIE ANN LEGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 140, SAINT JOSEPH, MI 49085-9151
(269) 556-7150
Mailing address
2010 REDBUD TRL, NILES, MI 49120-8604
(269) 697-0246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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